| NPI | 1487476248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DUNCAN OWENS Cco 800-932-2738 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |